Ailie Chua Tan, MD is a medicare enrolled "Hospitalist" physician in Marlborough, Massachusetts. Her current practice location is
157 Union St, Marlborough, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 334-5000.
Ailie Chua Tan is licensed to practice in Massachusetts (license number 1018881) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1699395053.
Physician's Profile
Full Name | Ailie Chua Tan |
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Gender | Female |
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Speciality | Hospitalist |
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Location | 157 Union St, Marlborough, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1699395053
- Provider Enumeration Date: 04/25/2020
- Last Update Date: 07/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 9739624545
- Enrollment ID: I20240716002750
Medical Identifiers
Medical identifiers for Ailie Chua Tan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699395053 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | 1018881 (Massachusetts) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ailie Chua Tan allows following entities to bill medicare on her behalf.
Entity Name | Marlborough Hospitalist Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316639321 PECOS PAC ID: 1254793888 Enrollment ID: O20230815001157 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ailie Chua Tan is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ailie Chua Tan, MD 157 Union St., Marlburough, MA 01752-1228 Ph: (508) 481-5000 | Ailie Chua Tan, MD 157 Union St, Marlborough, MA 01752-1228 Ph: (508) 334-5000 |
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